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A205 -10 GENERAL POWER OF ATTORNEY
R205 -04
NOTICE: THIS IS AN IMPORTANT DOCUMENT. BEFORE SIGNING THIS DOCU-
MENT, YOU SHOULD KNOW THESE IMPORTANT FACTS. THE PURPOSE OF THIS
POWER OF ATTORNEY IS TO GIVE THE PERSON WHOM YOU DESIGNATE (YOUR
"AGENT BROAD POWERS TO HANDLE YOUR PROPERTY, WHICH MAY INCLUDE
POWERS TO PLEDGE, SELL OR OTHERWISE DISPOSE OF ANY REAL OR PERSON-
AL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. YOU
MAY SPECIFY THAT THESE POWERS WILL EXIST EVEN AFTER YOU BECOME DIS-
ABLED, INCAPACITATED OR INCOMPETENT. THIS DOCUMENT DOES NOT
AUTHORIZE ANYONE TO MAKE MEDICAL OR OTHER HEALTH CARE DECISIONS
FOR YOU. IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDER-
STAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOU. YOU MAY REVOKE
THIS POWER OF ATTORNEY IF YOU LATER WISH TO DO SO.
TO ALL PERSONS, be it known that I, L /Ar 4
of L�� �f� C'L
the undersigned Grantor, do hereby make and grant a general power of attorney to ,Et/f Val
of /C-E
and do thereupon constitute and appoint said indivi ual as my attom -in -fact.
My attorney -in -fact shall act in my name, place and stead in any way which I myself could do, if I were per-
sonally present, with respect to the following matters, to the extent that I am permitted by law to act through an agent:
(NOTICE: The grantor must write his or her initials in the corresponding blank space of a box below with respect to
each of the subdivisions (A) through (0) below for which the Grantor wants to give the agent authority. If the blank
space within a box for any particular subdivision is NOT initialed, NO AUTHORITY WILL BE GRANTED for mat-
ters that are included in that subdivision. Cross out each power
(A) Real estate transacts
(B) Tangible personal property transactions
(C) Bond, share and commodity transactions
(D) Banking transactions
(E) Business operating transactions
(F) Insurance transactions
(G) Gifts to charities and individuals other than Attorney -in -Fact
(If trust distributions are involved or tax consequences are anticipated, consult an attorney.)
(11) Claims and litigation
(I)
(J)
(K)
Personal relationships and affairs
Benefits from military service
Records, reports and statements
AZHF
Recorded I t ,1 /.��dl�i at ?,.&./.1. M
in Book J page Kemmerer WY
No l ir Jeanne Wagner, Clerk
(With Durable Provision)
(Revised 2/97)
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